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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This EGD Test Result Indicate?

I have GERD and recently had a EGD done and the report says, Esophageal body was grossly within normal limits. Scope was advanced to the level of the EG junction. Circumferential changes of grade 2 reflux were identified 38cm from the incisors No stricture as associated. Can you tell me what this means. Are there different degrees of GERD and where would I fall in this catagory. I am looking at having a Gastric Sleeve done and was wondering if this would make the the GERD I have worse or improve it?
Sun, 22 Apr 2018
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General Surgeon,  's  Response
Hi,

Your EGD report 'circumferential changes of grade 2 reflux were identified 38 cm from the incisors, No stricture as associated' shows early features of GERD. Well, there are 4 grades of reflux and as you progress from grade 1 to 4 the severity increases.

With this respect, you are in the begining of the disease which is reversible with medical treatment. So, you should not worry too much. If I were your treating doctor I would not recommend you to have Gastric Sleeve done as many studies shows that this will further worsen your reflux problem and has some complications after the procedure.

Insteed I would suggest to go for gastric bypass in this situation if your obesity is a matter of concern.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Harihar Devkota
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What Does This EGD Test Result Indicate?

Hi, Your EGD report circumferential changes of grade 2 reflux were identified 38 cm from the incisors, No stricture as associated shows early features of GERD. Well, there are 4 grades of reflux and as you progress from grade 1 to 4 the severity increases. With this respect, you are in the begining of the disease which is reversible with medical treatment. So, you should not worry too much. If I were your treating doctor I would not recommend you to have Gastric Sleeve done as many studies shows that this will further worsen your reflux problem and has some complications after the procedure. Insteed I would suggest to go for gastric bypass in this situation if your obesity is a matter of concern. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harihar Devkota